
Endometrial Scratch for Fertility in Birmingham & The Midlands
Endometrial scratch is a fertility procedure that may help improve the chances of embryo implantation in some patients undergoing fertility treatment.
At Midlands Women’s Health, we offer private endometrial scratch procedures in Birmingham as part of personalised fertility care for patients across Birmingham, Solihull and the West Midlands.
This simple outpatient procedure is sometimes recommended for patients who have experienced recurrent implantation failure during IVF or difficulty conceiving.

What Is an Endometrial Scratch?
An endometrial scratch is a procedure that involves gently stimulating the lining of the uterus (the endometrium) using a thin catheter.
The aim of the procedure is to trigger a natural healing response in the endometrium, which may help improve the uterine environment for embryo implantation during a future cycle. The procedure is quick, usually taking only a few minutes, and is performed during an outpatient appointment.
Why Is Endometrial Scratch Performed?
Endometrial scratch may be recommended in certain fertility situations, including:
- Previous unsuccessful IVF cycles
- Recurrent implantation failure
- Unexplained infertility
- Preparing for future fertility treatment or embryo transfer
Some research suggests that the inflammatory response caused by the procedure may improve the receptivity of the uterine lining, potentially supporting embryo implantation. Your fertility specialist will advise whether this treatment is appropriate based on your medical history and fertility investigations.

How the Procedure Works
The endometrial scratch procedure is usually performed during a specific phase of the menstrual cycle.
The process typically involves:
- A brief outpatient appointment
- A speculum examination similar to a smear test
- Insertion of a thin catheter through the cervix
- Gentle stimulation of the uterine lining to collect a small tissue sample
The procedure usually takes less than 10 minutes.
Most patients can return to normal activities shortly afterwards.
Does an Endometrial Scratch Hurt?
Some patients experience mild cramping or discomfort, similar to period pain, during or shortly after the procedure.
This discomfort is usually temporary and resolves quickly. Your doctor may recommend taking simple pain relief before the appointment if needed.

Who May Benefit from an Endometrial Scratch?
Endometrial scratch may be considered for patients who:
- Have experienced repeated IVF implantation failure
- Have had multiple unsuccessful embryo transfers
- Have unexplained fertility problems
- Are preparing for another IVF cycle
Not all patients require this procedure, and your fertility specialist will discuss whether it may be beneficial in your case.
Why Choose Midlands Women’s Health?
Patients across Birmingham and the Midlands choose Midlands Women’s Health for fertility care because we offer:
- Consultant-led private fertility treatments
- Personalised fertility investigations and treatment plans
- Fast access to fertility appointments
- Specialist expertise in reproductive health and fertility
- A supportive and confidential clinical environment
Our aim is to provide evidence-based fertility care to help maximise the chances of successful pregnancy.
Frequently Asked Questions About Endometrial Scratch
The procedure aims to stimulate the uterine lining, which may improve endometrial receptivity and increase the likelihood of embryo implantation in some fertility patients.
The procedure is typically performed during the luteal phase of the menstrual cycle, often in the month before embryo transfer or fertility treatment.
Yes. Endometrial scratch is considered a safe and simple outpatient procedure when performed by a trained fertility specialist.
The procedure usually takes less than 10 minutes and does not require anaesthesia.
Some patients may experience mild cramping or light spotting for a short period after the procedure.
No. At Midlands Women’s Health you can book a private fertility consultation directly without a GP referral.
Book an Endometrial Scratch Procedure in Birmingham
If you have experienced repeated IVF implantation failure or unexplained fertility challenges, an endometrial scratch procedure may be considered as part of your fertility treatment plan.
Book with Midlands Women’s Health today to arrange a consultation with a fertility specialist in Birmingham, providing expert fertility investigations and treatments for patients across the West Midlands and Midlands region.
Our Fertility Specialist

Dr Ruchira Singh
Consultant Gynaecologist and Fertility Specialist
GMC: 6058723
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